Lapa, Dom João e Montanha

Lapaeumides actor

Lapalco is the second album by American singer-songwriter Brendan Benson, released in 2002. The name "Lapalco" is in reference to Lapalco Boulevard, a major highway which runs through, Harvey, Louisiana, where Benson spent part of his youth. The street name is an acronym of "LouisianA Power And Light COmpany", the former name of the power company that owned the right of way to the property that the highway was built on. Cover and design was done by Roe Peterhans and photography by Andy Kemp.

Lapalma

Lapachito

auto

inline,title

لپاسرك

Marathi

Halving lap joints are used extensively in transition and cabinetry for framing. They are quick and easy to make and provide reasonable strength through good long grain to long grain gluing surface. The shoulders provide some resistance to racking (diagonal distortion). They may be reinforced with dowels or mechanical fasteners to resist twisting of the wood.

Lapa do Convento (BA-002) is a limestone cave measuring 9300 meters long, located in the municipality of Campo Formoso, in the State of Bahia, Brazil.

yes

Closed

studio version

Everest Entertainment Pvt. Ltd.

Lapaeumides

2-Hydroxy-3-(3-methylbut-2-enyl)naphthalene-1,4-dione

Location in Gujarat, India

Animalia

Religions

Lapai

Insecta

Lapasari

ztl

Lapara bombycoides, adult

Lapa dos Brejões

Lapachu

The Lapa River is a river of Puerto Rico.

Laparocerini

Lapaeumides is a genus of moths within the family Castniidae.

Lap dancers

Hawaii

Lapa is a former parish (freguesia) in the municipality of Lisbon, Portugal. It has a total area of 0.72 km² and total population of 8,671 inhabitants (2001); density: 12,026.4 hab/km². At the administrative reorganization of Lisbon on 8 December 2012 it became part of the parish Estrela.It was created on February 11, 1770, by the Cardinal patriarch of Lisbon Francisco de Saldanha da Gama.This parish of Lisbon concentrates a large number of embassies of foreign countries in Portugal, in particular, Austria, Bulgaria, Canada, China, Finland, Indonesia, Ireland, Luxembourg, Sovereign Military Order of Malta, Netherlands, Romania, Sweden, Switzerland and United Kingdom.It is also the site of the Assembly of the Republic and the official residence of the Prime Minister of Portugal.

Lapalmes

*Castnia zerynthia (Gray, 1838)
*Castnia langsdorfii (Ménétriés, 1857)
*Castnia amazona (Buchecker, [1880])

bottom

Lapar Ali Baba Mohammadi

Zone

Local Government Chairman and the Head of the Local Government Council

Lapalala Game Reserve is close to Ellisras, Limpopo province, South Africa, and has an area of about 35000 Ha.

لپرعلي بابامحمدي

Lapa

changed

Bolivia–Parana?

September 2016

Ethnicities

Lap guitar

Lap of the Gods

Lapageria rosea

A lap circle (also known as a Lap Sit or lap game) is an entertaining exercise in cooperation, trust and coordination.A lap circle is formed by a number of people (the more the better) standing in a circle, shoulder to shoulder, all facing towards the center. The next step is for everyone to take a quarter turn to the left (or right) and then on a given command everyone sits on the lap of the person behind them. The end result is everyone is supporting someone and everyone is being supported by another.Businesses sometimes use lap circles as a trust and team building exercise.

A lap dance (or contact dance) is a type of erotic dance performance offered in some strip clubs in which the dancer typically has body contact with a seated patron. Lap dancing is different from table dancing, in which the dancer is close to a seated patron, but without body contact. With lap dancing, the dancer may be nude, topless or scantily dressed, depending on the laws of the jurisdiction and the club's policies. With full-contact lap dances, the stripper may engage in non-penetrative sexual contact with the patron, such as "grinding" his or her body against the patron. Variant terms include couch dance, which is a lap dance where the customer is seated on a couch. In some places, a "block session" of lap dances (usually a half an hour to an hour) can be booked in a "champagne room", which is a private room usually located in the back of a club. In many clubs, the duration of a lap dance is measured by the length of the song being played by the club's DJ. Charges for lap dances vary significantly.Depending on the local jurisdiction and community standards, lap dances can involve touching of the dancer by the patron, touching the patron by the dancer, neither, or both. In some clubs, any touching by the patron is forbidden. On the other hand, absent any oversight by the club, various levels of contact may be negotiable between the participants. Clubs vary widely with regard to whether they enforce their rules or turn a blind eye to any violations.There is some debate as to whether lap dancing is entertainment or a type of sex work. Critics of lap dancing allege that some club owners, by installing dark private booths and charging dancers steep stage fees, are covertly condoning and encouraging the sale of sexual acts between customers and dancers. This can be a concern if, as for instance in the United Kingdom, the club has a Public Entertainment Licence rather than a Sex Establishment Licence, and in jurisdictions where brothels are illegal. According to the UK paper The Guardian, "Research shows that the majority of women become lap-dancers through poverty and lack of choice."

Imperial

Lap of Luxury is the tenth studio album by American band Cheap Trick. It was released on April 12, 1988, it is the band's second most commercially successful studio album, going to #16 on the Billboard 200 (trailing only 1979's Dream Police which went to #6) and has been certified platinum in sales.The album was certified Platinum in Canada for the 100,000 sales in September 1988, where the album peaked at #11.

Lap Vo District

Laparoscopic hiatal hernia repair

Dilip Kotalgi

Laparocerini is a weevil tribe in the subfamily Entiminae.

Lap dog

Lapara
Lapara coniferarum (southern pine sphinx) is a species of sphinx moth. It is known from mixed and pine forests from Nova Scotia and Maine south to Florida, and west to Indiana and Louisiana.The wingspan is 50–57 mm. The forewing is grey with two or three black stripes in the middle of the wing. Other marking are vague.The larvae feed on Pinus species, including Pinus taeda and Pinus pinaster.

Nielsen, Zander, Gregg Giuffria

Lap dances

Lapa do Salitre, also Lapa do Convento, literally "cave of saltpeter" (BA-0166) is a limestone cave measuring 5,670 meters long, located near the municipality of Campo Formoso, in the State of Bahia, Brazil.

Metric

Lapa Church

Lapai is a Local Government Area in Niger State, Nigeria, adjoining the Federal Capital Territory. Its headquarters are in the town of Lapai on the A124 highway in the west of the area at9°03′00″N 6°34′00″E.It has an area of 3,051 km² and a population of 110,127 at the 2006 census. The area is roughly coterminous with the Lapai Emirate.The postal code of the area is 911.

Lapachol molecule ball.png

Lapa do Boquete

Lapaeumides ctesiphon

Location in Ontario

Apolista

Lapara phaeobrachycerous (Gulf pine sphinx) is a moth of the family Sphingidae. It is known from pine forests in Mississippi and eastern Louisiana.The wingspan is 64–78 mm. The upperside of the forewing is charcoal gray to brownish gray with white scales and one or two black dashes.

Sachin Parekar

Lapac

UTC -3

Nielsen

Arthropoda

Lapakahi State Historical Park

The Lapal Tunnel (old spelling Lappal Tunnel) is a disused 3,470-metre (11,385 ft) canal tunnel on the five mile dry section of the Dudley No. 2 Canal in the West Midlands, England. It takes its name from the settlement of Lapal.The narrow brick-lined tunnel, built in 1798 by William Underhill, had no towpath. It had a very small bore - at 7 feet 9 inches, barely wider than the boats which used it, with a headroom of only 6 feet. Boats originally took about three hours to complete the passage by legging or poling, so in 1841 a steam engine was built at the Halesowen end which drove a scoop wheel to load the tunnel with water. Stop gates could be opened at either end to assist boats along the tunnel in either direction.The tunnel suffered many collapses, and after a collapse in 1917 due to mining subsidence it was abandoned. It runs under Lapal, the M5 motorway near junction 3 and Woodgate Valley Country Park. The canal on the south side of the tunnel is also disused and some sections have been filled in as the tunnel was considered uneconomic to repair. To the north of the tunnel, the canal is in good repair and is used by boats accessing Hawne basin.

Laparoscopic radical prostatectomy

Lapaliiya

Lapalux

Lapa (disambiguation)

Nepal

Location in Nigeria

Lapa (São Paulo)

Lapalapa Toni

Lapa, Paraná

Lap lap

Lapa River

Lap tapping

Lapa, Parana

Languages
Lapanga

Emir

Northern pine sphinx

Mangesh Kulkarni

Lapakahi State Historical Park is a large area of ruins from an Ancient Hawaiian fishing village in the North Kohala District on the Big Island of Hawaiʻi. Offshore is the Lapakahi Marine Life Conservation District.The name lapa kahi means "single ridge" in the Hawaiian Language, and applied to the ahupuaʻa, an ancient land division that ran from the sea up to Kohala Mountain. It is located off of ʻAkoni Pule Highway (Route 270), 12.4 miles (20.0 km) north of Kawaihae, Hawaii. It is state archaeological site 10-02-2245, and was added to the National Register of Historic Places on July 2, 1973 as site 73000654. Just to the north, Māhukona Beach Park is on a bay where a sugar mill once stood.

A lapalissade is an obvious truth—i.e. a truism or tautology—which produces a comical effect. It is derived from the name Jacques de la Palice, and the word is used in several languages.

Lap Thach District

Lapa (district of São Paulo)

Lapageria hookeri

*Heliconius doris
*Papilio doris (Linnaeus, 1771)
*Papilio quirina (Cramer, [1775])
*Papilio amathusia (Cramer, [1777])
*Nereis delila (Hübner, [1813])
*Migonitis crenis (Hübner, 1816)
*Crenis brylle (Hübner, 1821)
*Heliconia dorimena (Doubleday, 1847)
*Heliconius mars (Staudinger, 1885)

Lapataganj - Ek Baar Phir

Lapaguía-Guivini Zapotec language

Lapandav

Lap bomber

Lap dulcimer

Laparoscopic cholecystectomy

Lapal Canal

Lapanka

Lapalco

Lapaeumides zerynthia

Lapachol is a natural phenolic compound isolated from the bark of the lapacho tree. This tree is known botanically as Handroanthus impetiginosus, but was formerly known by various other botanical names such as Tabebuia avellanedae. Lapachol is also found in other species of Handroanthus.Lapachol is usually encountered as a yellow, skin-irritating powder from wood. Chemically, it is a derivative of vitamin KOnce studied as a possible treatment for some types of cancer, it is now considered too toxic for use

Lapasari Village is near Rajkot city in Rajkot district in Gujarat State in India.

Lapa Church, officially Igreja Paroquial de Nossa Senhora da Lapa (Parish Church of Our Lady of Lapa) is a Parish church in the Portuguese city of Póvoa de Varzim. It was built in 1772 by the local fishermen community. Despite its simplicity it has some interesting features and cultural interest such its old lighthouse, once a link between the church and the fishermen at sea.Traditional marriage marks, Siglas poveiras, can be found in the church.

Rajkot

Lapacho blanco

village

Lapa (Lisbon)

Lapageria

Zafar Sultan

Lap joints

No Mercy

Country

*Ellema harrisi (Clemens, 1859)
*Ellema pineum (Lintner, 1872)

Lapa, Nepal

Laparus doris

L. bombycoides

Lap dancer

Lapanow Commune

The Lapai Emirate, today in Nigeria, is a traditional state that lies near the Gurara River, a tributary to the Niger River, and was originally inhabited by the Gbari people, covering roughly the same area as the modern Lapai local government area.In the 1790s the Nupe Kingdom was a rising power in the region and had taken Lapai from Oyo. However, with the onslaught of the Fulani Jihad their lands, including Lapai, were conquered by the Sokoto Caliphate. The people of the region became subject to the Hausa kingdom of Zazzau. After 1804 they came under the Fulani emirate of Zaria, part of the realm of the emir of Gwandu. The Lapai emirate was separated from the emirates of Zaria and Agaie in 1825. The emirate was founded in 1828 when Mallam Baba sent his Lieutenant Daudu Muza to subjugate the area. Daudu was successful, but kept the land for himself. The emirate remained a tributary to the Gwandu emirate until 1903, when the British took control.

Lapa Sarak

Lapa do Salitre

Laparoscopy and dye

Lap circle

Unincorporated placeRailway point

Lap of Love Veterinary Hospice

Lapa, Dom Joao, and Montanha islands

Emirate

Lap dissolve

Lapaqa Sadeq

Lap xuan

*Eupalamides ctesiphon (Hübner, [1820])
*Castnia schreibersi (Mikán, [1823])
*Castnia latreille (Godart, [1824])
*Castnia ctesiphon (Schaufuss, 1870)

Lapa dos Brejoes

Lap belt

studio

Lapaqa Sadeq (Persian: لپاقاصدق‎‎, also Romanized as Lapāqā Şadeq) is a village in Lisar Rural District, Kargan Rud District, Talesh County, Gilan Province, Iran. At the 2006 census, its population was 193, in 52 families.

District

Laparoscopic fundoplication

Lapalapa Toni (born 7 April 1994) is a Samoan footballer who plays as a forward for Lupe o le Soaga and the Samoa national football team. He made his debut for the national team on August 31, 2015 in a 3–2 victory against American Samoa.

لپاسر

Nearest city

Lapageria alba

Lapanagoi

Privately Owned Franchisor

Lapaguia-Guivini Zapotec

I Want You to Want Me

American

Lapaeumides zerynthia is a moth in the Castniidae family. It is found in Brazil, in the Neotropic ecozone.

Cesta Básica

Laparra is a former settlement in Imperial County, California. It was located 8 miles (13 km) northwest of Imperial.A post office operated at Laparra from 1908 to 1911.

Lapanga is a census town in Sambalpur district in the Indian state of Odisha.

Lapal Tunnel

Lapaguía-Guivini Zapotec

One Mississippi

State

Lapampasaurus cholinoi

Lapara is a town in the Boromo Department of Balé Province in south-western Burkina Faso. The town has a population of 2648.

India Odisha#India

Eastern Time Zone

Lapal primary school

Lapalissade

Lapalapa

Brazil Rio de Janeiro#Brazil

Blue specimen, Quito, Ecuador

Lapafo

Lap desk

Lapara bombycoides (northern pine sphinx) is a member of the family Sphingidae of moths. It is known from coniferous and mixed coniferous forests in southern Canada (Manitoba, Ontario, Quebec, New Brunswick, Nova Scotia and Prince Edward Island) as well as north-eastern Alberta and central Saskatchewan.

Lapa do Lobo

Lap Vo

Lapageria is a genus of flowering plants with only one known species, Lapageria rosea, commonly known as Chilean bellflower or copihue (co-pee-way < Mapudungun kopiwe). Lapageria rosea is the national flower of Chile. It grows in forests in the southern part of Chile, being part of the Valdivian temperate rain forests flora.

Lap band

Laparoscopic hernia repair is the repair of a hiatal hernia using a laparoscope, which is a tiny telescope-like instrument. A hiatial hernia is the protrusion of an organ through its wall or cavity. There are several different methods that can be used when performing this procedure. Among them are the Nissen Fundoplication and the general laparoscopic hernia repair.

Wrong Side of Love

Lap Steel Guitar

Lapa (Rio de Janeiro)

Lutz, Florida, USA 2009, incorporated 2011

Location in Burma

Lapacho or Taheebo is herbal tea made from the inner bark of the Pau d'arco tree Handroanthus impetiginosus.Lapacho is used in the herbal medicine of several South and Central American indigenous peoples to treat a number of ailments including infection, fever and stomach complaints.

Stuart Howard

Established

Gulf pine sphinx

Laparwah

A lap dance (or contact dance) is a type of erotic dance performance offered in some strip clubs in which the dancer typically has body contact with a seated patron. Lap dancing is different from table dancing, in which the dancer is close to a seated patron, but without body contact. With lap dancing, the dancer may be nude, topless or scantily dressed, depending on the laws of the jurisdiction and the club's policies.

*Crenis (Hübner, 1821)
Species:

Southern pine sphinx

Lap band surgery

non_performing_personnel

Lap top

Lapakahi Complex

Lapa (instrument)

Lapacho negro

Lapara phaeobrachycerous (Gulf pine sphinx) is a moth of the family Sphingidae. It is known from pine forests in Mississippi and eastern Louisiana.The wingspan is 64–78 mm. The upperside of the forewing is charcoal gray to brownish gray with white scales and one or two black dashes. The upperside of the hindwing is uniform charcoal gray to brownish gray.There are five generations per year with adults on wing from April to October in Louisiana.The larvae probably feed on Pinus species, such as Pinus palustris and Pinus taeda.

Official

Lap dance

Laparra

Lapara bombycoides

A lapdog or lap dog is a dog that is both small enough to be held in the arms or lie comfortably on a person's lap and temperamentally predisposed to do so. Lapdogs are not a specific breed, but is a generic term for a type of dog of small size and friendly disposition.Lapdogs historically were kept in many societies around the world by individuals with leisure time, as docile companion animals with no working function other than companionship. Genetic analysis reveals that lapdogs are among the earliest specific types of dogs to live with people. Today, most lapdog breeds fall into the Toy breed group.

Lapa (structure)

Laparoscopy

Nigeria

Lapachu, also known as Apolista, is an extinct Arawakan language of Bolivia. Aikhenvald (1999) classifies it together with Terena, Moxos, and related languages. It is not clear from surviving descriptions whether it was one language or two.

Iran

Lapaeumides actor is a moth in the Castniidae family. It is found in Brazil.

Walker, 1856

Lapalmes (formerly Lapalmes Spur) is an unincorporated place and railway point in geographic Marshay Township in the Unorganized North Part of Sudbury District in Northeastern Ontario, Canada. The community is on Pazhig Lake in the Wanapitei River system, part of the Great Lakes Basin.Lapalmes is on the Canadian National Railway transcontinental main line, has a passing siding, and is passed but not served by Via Rail Canadian trains. The next community eastbound is Felix, served by Felix railway station; the next community westbound is Ruel, served by Ruel railway station.

Lapar Ali Baba Mohammadi (Persian: لپرعلي بابامحمدي‎‎, also Romanized as Lapar ʿAlī Bābā Moḩammadī) is a village in Sajjadrud Rural District, Bandpey-ye Sharqi District, Babol County, Mazandaran Province, Iran. At the 2006 census, its population was 18, in 4 families.

The lap desk is both an antique and modern form.

Rolling Stone

L. rosea

November 2015

none

Lapanagoi (Greek: Λαπαναγοί) is a village in the municipality of Kalavryta, Achaea, Greece. The village is on the border between the municipalities of Aigialeia and Kalavryta and is located south east of Leonteios and across the valley from the Makellarias Monastery.

Lapa da Mangabeira

Location in Nepal

Sierra Sur

Municipality/City

Lapara phaeobrachycerous

Nielsen, Diane Warren

Laparoscopic hysterectomy

Lapa Sar

Lap band procedure

Location in Odisha, India

*Philesia rosea ( D.Dietr.)
*Lapageria hookeri (Bridges ex Hook.)
*Lapageria alba (Decne.)

Lapa is a neighborhood in the city of Rio de Janeiro, in Brazil. It is located in the centre of Rio and is famous for its historical monuments and nightlife.The neighborhood is home to the Arcos da Lapa, an impressive aqueduct constructed in the mid-18th century by colonial authorities. Another important historical attraction is the Passeio Público, the first public park of the city, built in the 1780s.Since the early 1950s, Lapa has been known for its lively cultural life where there is a concentration of many restaurants and bars where Brazilian artists and intellectuals would meet. It was, and still is, famous for its many restaurants, bars and clubs where the various forms of Brazilian music can be appreciated, like the Asa Branca bar and the Fundição Progresso. The Sala Cecília Meireles, an important venue for chamber music, is also located in Lapa.

Lapa, Dom Joao e Montanha

Lapalice

Lapalmes, Ontario

Lapalapa Sene Crichton Toni

Southern

Lapaquistat acetate

Laparocentesis

Lap of Luxury

Lapaidan

Lap cheung

Lapa (district of Sao Paulo)

Burma

Laparoscopic hernia repair

Promotional Poster

*Castnia ctesiphon (Schaufuss, 1870) (preocc. (Hübner,[1820]))

Doris Longwing, blue morph.jpg

Lapa, Greece

Lap of Luxury (disambiguation)

Lapan Space Center

Laparotenser

Lapangan Banteng, formerly Waterloo Square (Dutch: Waterlooplein) in Batavia, Dutch East Indies, is a historic area in Sawah Besar, Weltevreden in Jakarta, Indonesia.It was the site of a statue to Jan Pieterszoon Coen, who won control of Batavia. Lapangan Benteng Park is located in the area. There is also a street named Jalan Lapangan Banteng.

Lapas

Lap cheong

Oiticica, 1955

Location in Brazil

The lapa is a wind instrument originating in 19th century China. It is made of metal and is similar to the shape of an oboe. The lapa is usually 94 centimeters in length.

Lapan- TUBsat

Laparus

Lapanow

Neighborhood

Lapaidan is a village in Bhamo Township in Bhamo District in the Kachin State of north-eastern Burma.

Village

Lap of the Gods (TMNT 2003 Episode)

Lapan XT-400

Lapan- TUBSat is Indonesia’s first remote sensing satellite, made by the experts from National Institute of Aeronautics and Space (Lembaga Penerbangan dan Antariksa Nasional, Lapan) and Technical University Berlin (TUB) Germany. The uses of the satellite are for Indonesian natural resources observation and weather forecast for the Indonesian area.

Bob Mitchell, Nick Graham

Rs 1.5 Crores

Lapaj

lapa1249

Lapalmes (formerly Lapalmes Spur) is an unincorporated place and railway point in geographic Marshay Township in the Unorganized North Part of Sudbury District in Northeastern Ontario, Canada. The community is on Pazhig Lake in the Wanapitei River system, part of the Great Lakes Basin.Lapalmes is on the Canadian National Railway transcontinental main line, has a passing siding, and is passed but not served by Via Rail Canadian trains.

لپاقاصدق

Lapadas Do Povo

LGA and town

Laparascope

Lapa do Lobo is a Portuguese parish in the municipality of Nelas. The population in 2011 was 756, in an area of 7.32 km².

Lapaguía Zapotec

Busted

Laparoscopic surgeries

Lapahayranli

Tujhyat Jeev Guntla

Laparoscopic radical prostatectomy (LRP) is a modern form of radical prostatectomy, an operation for prostate cancer. Contrasted with the original open form of the surgery, laparoscopic radical prostatectomy does not make a large incision. Instead, laparoscopic radical prostatectomy is minimally invasive and relies on modern technologies, such as fiber optics and miniaturization. Laparoscopic radical prostatectomy is not a new treatment for prostate cancer. It is a modern form of the oldest treatment for prostate cancer.An LRP manual, published in 1999, describes the technique by which the laparoscopic operation is done. It describes the instruments used and clarifies that LRP is laparoscopic, not laser, prostate surgery.The laparoscopic and open forms of radical prostatectomy physically remove the entire prostate and reconstruct the urethra directly to the bladder. Laparoscopic radical prostatectomy and open radical prostatectomy differ in how they access the deep pelvis and generate operative views. In contrast to open radical prostatectomy, the laparoscopic radical prostatectomy makes no use of retractors and does not require that the abdominal wall be parted and stretched for the duration of the operation.There is very little bleeding with laparoscopic radical prostatectomy, as low as 50 ccs in some hands. Less bleeding means a more stable operative course and less need for transfusions; this in turn means less risk of such complications as allergic reactions and infections. It means less anemia, fatigue, and cardiovascular complications.There is also very little pain because of the minimal nature of the physical access. In some hands, the analgesic use is simply paracetamol (acetominophen) during the first twenty four hours.The American Cancer Society states that patient success with laparoscopic radical prostatectomy is determined by surgeon experience and focus.One of the main benefits of the procedure is rapid discharge after surgery by the next day. However using Toradol or PCA (patient controlled analgesia) with open surgery, many patients are almost pain-free and are very often discharged by the next evening, so that benefit of a robotic procedure on length of stay is obviated using Toradol or PCA.There is a long learning curve for the robotic procedure. It is estimated that about 60 cases need to be performed by a surgeon to be comfortable with the procedure and about 250 cases to be an expert.The procedure takes at least five hours and as long as eight hours for the average urologist, without a bilateral lymph node dissection, compared to 2.5–3 hours when done by an open technique with an incision, with a completed lymph node dissection.There is a greater risk of accidentally incising into the prostate, resulting in "margin positivity," i.e. leaving cancer within the patient, in otherwise organ confined disease, even in the hands of experts. This is presumed to happen as a result of the lack of tactile sensation. Margin positivity is strongly correlated with PSA recurrences and a fourfold annual increase in cancer recurrence compared to men with negative surgical margins. There was a recent study from the University of Michigan by Hollenbeck et al. (Urology 2007; 70: 96-100) after their first 200 cases that they were able to eliminate extensive positive margins (12% in their first 15 cases versus 2% after performing 81 cases) but they continued to have a positive surgical margin rate of 22%. Their conclusion was "It seems that cumulative surgeon volume beyond that which can be obtained in the typical urology practice may be needed to obtain ideal margin rates with this new technology."Patrick C. Walsh M.D in an editorial comment in the Journal of Urology, commenting on this article, compared his own experience at Johns Hopkins with organ confined disease with a positive surgical margin rate of only 1.8%.Another problem in higher-risk cases is that many surgeons using the robotic technique do not perform a lymph node dissection, as it is difficult to perform this adequately, robotically. The rationale usually given is that patient selection is such that most patients with Gleason score 6 on pathology do not need a lymphadenectomy. However, a small number of patients with Gleason 6 adenocarcinoma of the prostate are upgraded to Gleason 7 on final pathology. Any micrometastases in lymph nodes would not be detected, not be removed and would increase the risk of recurrences.There has not been any evidence in the urologic literature showing a benefit in regard to continence, potency or cure rates with the robotic procedure. Interest in the procedure is often patient driven, by patients who have been led to believe by the extensive advertising, that there are significant benefits to be obtained from the procedure. The open radical prostatectomy is still the "gold standard."There was a study in the Journal of Clinical Oncology from Harvard ["Utilization and Outcomes of Minimally Invasive Radical Prostatectomy." Jim C.Hu et al. Volume 26. Number 14. May 10, 2008. Page 2278-2284] using a national random sample of Medicare patients, showing that patients who had a laparoscopic/robotic radical prostatectomy underwent hormonal therapy in more than 25% of cases after the procedure compared to an open radical prostatectomy [this is usually not necessary with open radical prostatectomy if all the cancer has been removed and is usually less than 10% of cases], with a high risk of secondary procedures for bladder neck contracture [40% greater risk] which can result in poorer continence.In an accompanying editorial in the journal commenting on this article ["Radical Prostatectomy by Open or Laparoscopic/Robotic Techniques: an Issue of Surgical Device or Surgical Expertise?" Journal of Clinical Oncology. Volume 26. Number 14. May 10, 2008. Page 2248-2249] Michael L.Blute, M.D. of the Mayo Clinic wrote that "Patient interest in robotic assisted radical prostatectomy has been the result of a highly successful marketing campaign with the resultant consumer demand. Patients have been led to believe that hospital and recovery times are shorter and outcomes are better, a study has shown this expectation not to be the case." He also wrote "Currently, open technique is the state-of-the-art procedure in experienced hands, as the long-term results for laparoscopic/robotic assisted radical prostatectomy do not exist. The published literature fails to answer the question whether these procedures meet 'quality standards.May be this information has to be modificated, because there are hundreds of expert urologists, both in Europe and America or Asia, with thousands of patients, and now we can say that the standard surgical option in prostate cancer is laparoscopy (with or without robot assistance).Note: The editorial by Dr. Blute is 6 years out of date. This article needs updating. Extensive data on robotic microsurgery for Prostatectomy now exists.But more recent

Lapa Terminal

P0M

A lap circle (also known as a Lap Sit or lap game) is an entertaining exercise in cooperation, trust and coordination.A lap circle is formed by a number of people (the more the better) standing in a circle, shoulder to shoulder, all facing towards the center. The next step is for everyone to take a quarter turn to the left (or right) and then on a given command everyone sits on the lap of the person behind them.

Lap chole

L. doris

Lapal is a residential area of Halesowen in the West Midlands of England (part of Worcestershire until 1974). It is situated in the east of the town on the border with Birmingham. The Lapal area sits to the East of the Lapal Canal, to the North of Lapal Lane South up to what is now the M5 motorway, to the South West of Carters Lane and Kent Road, and to the South East of Mucklow Hill. Most of the houses were built between 1930 and 1980.

Originally recorded by Charlie Sexton

Lapa da Mangabeira (MG-003) is a cave located in the municipality of Ituaçu, Chapada Diamantina, in the State of Bahia, Brazil. Presenting a horizontal projection of 3230 meters and unevenness of 40 meters, being one of the most important pilgrimage centers in the State of Minas Gerais.

Laparoscopic Radical Prostatectomy

Lapageria rosea range map.png

Laparwah is a 1981 Hindi-language Indian feature film directed by Ravikant Nagaich, starring Mithun Chakraborty in lead role.

Só no Forévis

Lapacho

Lap straps

Lapa Sar (Persian: لپاسر‎‎, also Romanized as Lapā Sar) is a village in Goli Jan Rural District, in the Central District of Tonekabon County, Mazandaran Province, Iran. At the 2006 census, its population was 473, in 138 families.

Laparoscope

Lapangan Banteng

Lapara coniferarum

Lapartomy

All We Need Is a Dream

Lapal is a residential area of Halesowen in the West Midlands of England (part of Worcestershire until 1974). It is situated in the east of the town on the border with Birmingham. The Lapal area sits to the East of the Lapal Canal, to the North of Lapal Lane South up to what is now the M5 motorway, to the South West of Carters Lane and Kent Road, and to the South East of Mucklow Hill. Most of the houses were built between 1930 and 1980. In the late 1970s the large Abbeyfields estate was built alongside the currently disused portion of the Dudley Canal, adding to its already extensive owner-occupier housing stock.It is considered the most affluent suburb of Halesowen, commanding the largest average house prices of all the suburbs in the town.The area is served by Lapal Primary School and Leasowes High School, the Royal Oak public house and a small cluster of shops opposite, including a newsagent/post office, bakery, fish and chip shop, Chinese take-away, pharmacy and general grocery store. Also to be found in the area the ruins of the 13th century Halesowen Abbey, located in a field off the Manor Way by-pass.The area has local bus connections with Halesowen town centre, Stourbridge, Brierley Hill, Cradley Heath, Merry Hill, Birmingham and Oldbury. It is situated near to Junction 3 of the M5 motorway.The disused Lapal Canal Tunnel is nearby.

Lap pool

L. zerynthia

Space

Laparoscopically

*Castnia langsdorfii (Ménétriés, 1857) (preocc. (Ménétriés, 1829))

The Lapal Tunnel (old spelling Lappal Tunnel) is a disused 3,470-metre (11,385 ft) canal tunnel on the five mile dry section of the Dudley No. 2 Canal in the West Midlands, England. It takes its name from the settlement of Lapal.The narrow brick-lined tunnel, built in 1798 by William Underhill, had no towpath. It had a very small bore - at 7 feet 9 inches, barely wider than the boats which used it, with a headroom of only 6 feet.

Lap of Love Veterinary Hospice is a family-centered veterinary hospice and in-home euthanasia service, recognized as the first organized group of its kind in America. The company is a member of the International Association for Animal Hospice and Palliative Care, and is currently operating in 22 states.

Canada Ontario

GJ-3

Lapa is a neighborhood in the city of Rio de Janeiro, in Brazil. It is located in the centre of Rio and is famous for its historical monuments and nightlife.The neighborhood is home to the Arcos da Lapa, an impressive aqueduct constructed in the mid-18th century by colonial authorities.

Lapa do Convento

Theatrical release poster

Stuart Howard, better known by his stage name Lapalux (short for "Lap of Luxury"), is an English record producer from Essex. He is known for his experimental use of texture and wonky, off-kilter beats. He has released two LP's to date and has remixed works by Mirrors, The Acid, and Young Thug.

title

Lapa Sar, Ramsar

NME

Lapachu language

Province

Brou, 1994

Lapa, Rio de Janeiro

Genera

Lapajowka

Cheap Trick Lap of Luxury Let Go 1988.jpg

Lapaeumides ctesiphon is a moth in the Castniidae family. It is found in Brazil.

Lapachol

Municipality

See text

Lapalala Game Reserve

live at Budokan

Lapal canal

Lapadas do Povo is the fourth album of the Brazilian band Raimundos. It was launched in 1997, and produced by Mark Dearnley, at Sound City Studio, in Los Angeles.

Metropolitana de Curitiba

HDI

e18

Lapao

Lap dogs

William Underhill

L. ctesiphon

Lapa, Dom João, and Montanha islands

Lapacho or Taheebo is herbal tea made from the inner bark of the Pau d'arco tree Handroanthus impetiginosus.Lapacho is used in the herbal medicine of several South and Central American indigenous peoples to treat a number of ailments including infection, fever and stomach complaints. The active ingredients such as lapachol have been found to possess significant abortifacient and reproductive toxicity effects for rats.Taheebo is the common name for the inner bark of the Red or Purple Lapacho tree. This tree grows high in the Andes of the South American rainforest. The Red Lapacho's purple-colored inner bark was one of the main medicines used by the Incas and has been used for over 1,000 years by the Kallawaya.Lapacho is promoted as a treatment for a number of human ailments, including cancer. According to the American Cancer Society, "available evidence from well-designed, controlled studies does not support this substance as an effective treatment for cancer in humans", and using it risks harmful side-effects.

Lapadas do Povo

Lap coli

L. actor

Laparoscopic Surgery

Lapancsa

Sanjay Parekar

लापा

Copihue in flower

Laparoscopic

The Doctor

Lap of Honor

Lapaha

Lapaguía

Township

Location in the city of São Paulo

Brainfeeder, Pictures Music, Ninja Tune

Laparus doris viridis

Guivini

*Sphinx coniferarum (J.E. Smith, 1797)
*Sphinx cana (Martyn, 1797)

Lap giraffe

Laparoscopic anterior hernia repair

Laparoscopic radical prostatectomy (LRP) is a modern form of radical prostatectomy, an operation for prostate cancer. Contrasted with the original open form of the surgery, laparoscopic radical prostatectomy does not make a large incision. Instead, laparoscopic radical prostatectomy is minimally invasive and relies on modern technologies, such as fiber optics and miniaturization. Laparoscopic radical prostatectomy is not a new treatment for prostate cancer.

Laparoscopic chole

Lap joint

Lapan-TUBsat

Lapaguia Zapotec

Attar Jate Udoon

Laparra, California

Lap siding

Japanese version

Lapad

Lap steel

L. coniferarum

Lapara bombycoides (northern pine sphinx) is a member of the family Sphingidae of moths. It is known from coniferous and mixed coniferous forests in southern Canada (Manitoba, Ontario, Quebec, New Brunswick, Nova Scotia and Prince Edward Island) as well as north-eastern Alberta and central Saskatchewan. In the eastern half of the United States it is found from extreme north-eastern North Dakota, Minnesota, Wisconsin, Michigan, Pennsylvania and New York north through Connecticut, Massachusetts, Rhode Island, Vermont, New Hampshire and Maine and south in the Appalachian Mountains from New Jersey to western North Carolina, with scattered ranges as far south as Florida.The wingspan is 45–60 mm. It is a variable species. The forewing upperside is darker than in similar Lapara coniferarum and the antemedian lines are more distinct.Adults are on wing from mid June to mid July in Canada.The larvae feed on various pine species, including Pinus resinosa, Pinus rigida and Pinus sylvestris as well as Larix laricina.

city

Lapachito is a village and municipality in Chaco Province in northern Argentina.

A lapa is a structure that is popular in South Africa. It usually consists of a thatched roof supported by wooden poles. Lapas are commonly used as semi-open entertainment areas.It is sometimes misspelled as lapha. Lapa can suitably be accepted as a variant of the widely known gazebo.

Laparoschisis

Municipality and village

The Alternative to Love

All Wound Up

NG.NI.LP

apol1242

Lacordaire, 1863

Laparoscopes

Lapa (Sao Paulo)

Lapa Terminal is a bus terminal in the western part of São Paulo, Brazil.

Lap Thach

Lapara coniferarum, adult

right

Lapai Emirate

Lapachillo

Laparoscopic Tubal Reversal

India

Cis-Yautepec

Los Angeles Times
Originally recorded by Elvis Presley

The Lapai Emirate, today in Nigeria, is a traditional state that lies near the Gurara River, a tributary to the Niger River, and was originally inhabited by the Gbari people, covering roughly the same area as the modern Lapai local government area.In the 1790s the Nupe Kingdom was a rising power in the region and had taken Lapai from Oyo. However, with the onslaught of the Fulani Jihad their lands, including Lapai, were conquered by the Sokoto Caliphate.

Lapakahi State Historical Park is a large area of ruins from an Ancient Hawaiian fishing village in the North Kohala District on the Big Island of Hawaiʻi. Offshore is the Lapakahi Marine Life Conservation District.The name lapa kahi means "single ridge" in the Hawaiian Language, and applied to the ahupuaʻa, an ancient land division that ran from the sea up to Kohala Mountain. It is located off of ʻAkoni Pule Highway (Route 270), 12.4 miles (20.0 km) north of Kawaihae, Hawaii.

Lapara helicarnie

The Lapalala Wilderness is a wilderness area within the Waterberg Biosphere, Limpopo Province, South Africa. This 360 square kilometre nature reserve contains bushveld, grasslands, marsh and riparian habitats. In addition there are well preserved Stone Age rock paintings on bluffs above the Palala River that flows through this wilderness area. The Waterberg Biosphere itself is the first region in the northern part of South Africa to be named as a Biosphere Reserve by UNESCO.

Lapal

Lap and lead

Nielsen, Cerney
Zander, Petersson, Janna Allen

Lapack

Lapaguia-Guivini Zapotec language

per WP:CIRCULAR

Billberg, 1820

medic

Lapalala Wilderness

Lapa Sarak (Persian: لپاسرك‎‎, also Romanized as Lapā Sarak; also known as Espā Sar and Lapā Sar) is a village in Sakht Sar Rural District, in the Central District of Ramsar County, Mazandaran Province, Iran. At the 2006 census, its population was 242, in 70 families.

Lapa is a former parish (freguesia) in the municipality of Lisbon, Portugal. It has a total area of 0.72 km² and total population of 8,671 inhabitants (2001); density: 12,026.4 hab/km².

Lapachol is a natural phenolic compound isolated from the bark of the lapacho tree. This tree is known botanically as Handroanthus impetiginosus, but was formerly known by various other botanical names such as Tabebuia avellanedae. Lapachol is also found in other species of Handroanthus.Lapachol is usually encountered as a yellow, skin-irritating powder from wood.

data was gathered in the 1970s; it is possible there are still a few very old speakers

Mesoregion

Lapal Primary School

Location in Rio de Janeiro

Part

Lapa, Zhuhai

*Castnia actor (Dalman, 1824)

Abdulkadir A. Umar

Ball-and-stick model of lapachol

CA-ON

Lapa, Nepal is a village development committee in Dhading District in the Bagmati Zone of central Nepal. At the time of the 1991 Nepal census it had a population of 3809 and had 757 houses in it.

Lap danced

Lapa, São Paulo

L. phaeobrachycerous

Distribution area of Lapageria rosea

Ancient Hawaiian

A lapdog or lap dog is a dog that is both small enough to be held in the arms or lie comfortably on a person's lap and temperamentally predisposed to do so. Lapdogs are not a specific breed, but is a generic term for a type of dog of small size and friendly disposition.Lapdogs historically were kept in many societies around the world by individuals with leisure time, as docile companion animals with no working function other than companionship.

Lap dancing

Lap jointing

Lapaquin

Laparotamy